NRNP 6552 Final Exam – Women’s Health | 2
versions | 100% Verified Answers | A+ Graded |
Updated for 2026 | Advanced Primary Care of
Women | Walden University
SECTION 1: CONTRACEPTION AND FAMILY PLANNING
Q1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently
did. She asks about receiving the HPV vaccine. How do you respond?
A) "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B) "Research has not shown this vaccine to be effective against preventing cervical
cancer."
C) "After the age of 20, the HPV vaccine is no longer recommended."
D) "You should not receive the vaccination when you are pregnant."
Correct Answer: D
Rationale: The HPV vaccine is contraindicated in pregnancy due to limited safety
data. If a woman is found to be pregnant after initiating the series, remaining
doses should be postponed until after delivery. A pregnancy test is recommended
before administration .
Q2. Jack and Jill present for a preconception health counseling session. Jack is
34, Jill is 33, and they have a 5-year-old son, Jake. Jake was born with an open
neural tube defect and now has spina bifida. Jack and Jill want another child and
ask if there is anything they can do to prevent recurrence. What is your best
response?
A) "Jill should take 60 mg/day of an iron supplement to enhance stores to support
fetal development."
,B) "It is a matter of genetics, and there is nothing you can do."
C) "Have a CVS performed at 12 to 14 weeks gestation to determine the health of
the fetus."
D) "Jill should take 4 mg/day of folic acid, beginning before conception."
Correct Answer: D
Rationale: For women with a previous pregnancy affected by a neural tube defect,
high-dose folic acid (4 mg/day) is recommended starting at least one month
before conception and continuing through the first trimester. This dose is
significantly higher than the standard 0.4 mg/day recommended for the general
population .
Q3. All of the following are disadvantages of Combined Oral Contraceptives
(COCs) EXCEPT:
A) The need for daily pill taking
B) The ongoing cost of the method for some individuals
C) Side effects for some women
D) Reduction in the risk of some types of cancer
Correct Answer: D
Rationale: COCs are associated with a reduction in the risk of ovarian and
endometrial cancers, which is a significant benefit rather than a disadvantage.
Daily compliance, cost, and side effects are recognized disadvantages .
Q4. Nonlatex condoms have which of the following characteristics compared to
latex condoms?
A) Fit tighter on the penis than latex condoms
B) Come in a variety of colors
C) Have an increased risk of breakage or slippage during intercourse
D) Lead to a greater incidence of allergies than latex condoms
, Correct Answer: C
Rationale: Nonlatex condoms have a higher failure rate, including increased risk of
breakage or slippage, compared to latex condoms. They are often preferred by
individuals with latex allergies, but this is not a risk factor .
Q5. Progestin-only contraceptives are generally considered safer for women
who:
A) Have a diagnosis of Diabetes
B) Experience Migraines with aura
C) Are 15 or younger
D) Are healthy and fit
Correct Answer: B
Rationale: Progestin-only contraceptives are preferred for women who have
migraines with aura because they do not contain estrogen, which can increase
stroke risk in this population. Estrogen-containing contraceptives are
contraindicated in women with migraine with aura .
Q6. All of the following are barrier methods of contraception EXCEPT:
A) Male condom
B) Female condom
C) Diaphragm
D) Coitus interruptus
Correct Answer: D
Rationale: Coitus interruptus (withdrawal) is not a barrier method; it is a
behavioral method of contraception. Male condoms, female condoms, and
diaphragms are all barrier methods that physically block sperm from entering the
cervix .
versions | 100% Verified Answers | A+ Graded |
Updated for 2026 | Advanced Primary Care of
Women | Walden University
SECTION 1: CONTRACEPTION AND FAMILY PLANNING
Q1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently
did. She asks about receiving the HPV vaccine. How do you respond?
A) "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B) "Research has not shown this vaccine to be effective against preventing cervical
cancer."
C) "After the age of 20, the HPV vaccine is no longer recommended."
D) "You should not receive the vaccination when you are pregnant."
Correct Answer: D
Rationale: The HPV vaccine is contraindicated in pregnancy due to limited safety
data. If a woman is found to be pregnant after initiating the series, remaining
doses should be postponed until after delivery. A pregnancy test is recommended
before administration .
Q2. Jack and Jill present for a preconception health counseling session. Jack is
34, Jill is 33, and they have a 5-year-old son, Jake. Jake was born with an open
neural tube defect and now has spina bifida. Jack and Jill want another child and
ask if there is anything they can do to prevent recurrence. What is your best
response?
A) "Jill should take 60 mg/day of an iron supplement to enhance stores to support
fetal development."
,B) "It is a matter of genetics, and there is nothing you can do."
C) "Have a CVS performed at 12 to 14 weeks gestation to determine the health of
the fetus."
D) "Jill should take 4 mg/day of folic acid, beginning before conception."
Correct Answer: D
Rationale: For women with a previous pregnancy affected by a neural tube defect,
high-dose folic acid (4 mg/day) is recommended starting at least one month
before conception and continuing through the first trimester. This dose is
significantly higher than the standard 0.4 mg/day recommended for the general
population .
Q3. All of the following are disadvantages of Combined Oral Contraceptives
(COCs) EXCEPT:
A) The need for daily pill taking
B) The ongoing cost of the method for some individuals
C) Side effects for some women
D) Reduction in the risk of some types of cancer
Correct Answer: D
Rationale: COCs are associated with a reduction in the risk of ovarian and
endometrial cancers, which is a significant benefit rather than a disadvantage.
Daily compliance, cost, and side effects are recognized disadvantages .
Q4. Nonlatex condoms have which of the following characteristics compared to
latex condoms?
A) Fit tighter on the penis than latex condoms
B) Come in a variety of colors
C) Have an increased risk of breakage or slippage during intercourse
D) Lead to a greater incidence of allergies than latex condoms
, Correct Answer: C
Rationale: Nonlatex condoms have a higher failure rate, including increased risk of
breakage or slippage, compared to latex condoms. They are often preferred by
individuals with latex allergies, but this is not a risk factor .
Q5. Progestin-only contraceptives are generally considered safer for women
who:
A) Have a diagnosis of Diabetes
B) Experience Migraines with aura
C) Are 15 or younger
D) Are healthy and fit
Correct Answer: B
Rationale: Progestin-only contraceptives are preferred for women who have
migraines with aura because they do not contain estrogen, which can increase
stroke risk in this population. Estrogen-containing contraceptives are
contraindicated in women with migraine with aura .
Q6. All of the following are barrier methods of contraception EXCEPT:
A) Male condom
B) Female condom
C) Diaphragm
D) Coitus interruptus
Correct Answer: D
Rationale: Coitus interruptus (withdrawal) is not a barrier method; it is a
behavioral method of contraception. Male condoms, female condoms, and
diaphragms are all barrier methods that physically block sperm from entering the
cervix .
